Individual
STACI L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
304 EKLUND ST, PLEASANT HILL, MO 64080-1041
(816) 540-2119
(816) 540-5135
Mailing address
1301 E MYRTLE ST, PLEASANT HILL, MO 64080-1695
(816) 540-3161
(816) 540-5135
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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